Workers' Compensation Claims Supervisor (Hybrid) - ...

Overview:Workers' Compensation Claim SupervisorLocation: Hybrid (Nashville, TN office 2 days per week after initial training period)Schedule: Monday - FridayCCMSI, a top-ranked Employee-Owned Third Party Administrator in self-insurance services, is seeking a skilled Workers' Compensation Claim Supervisor to join our team. Certified as a Great Place to Work, we prioritize a positive work environment, professional development, and recognition of individual and team contributions. As a valued partner at CCMSI, you'll play a key role in upholding our mission of delivering exceptional service to our clients.Why Join CCMSI?Culture: Our core values of integrity, passion, and enthusiasm are embedded into every aspect of our company.Career Development: We offer robust career development programs to foster growth and advancement within our organization.Benefits: 4 weeks of paid time off in your first year, 10 paid holidays, and comprehensive benefits, including Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and Employee Stock Ownership Plan (ESOP).Work Environment: Enjoy a supportive and resourceful environment with manageable caseloads to ensure work-life balance.About the RoleAs a Workers' Compensation Claim Supervisor, you'll oversee and support the investigation and adjustment of claims across TN, KY, GA, NC, SC, VA, WV, and TX jurisdictions. You will also act as backup support for adjusters during their absence and play a critical role in maintaining our Corporate Claim Standards and the high quality of services our clients expect. This position is also designed to offer training and preparation for future management opportunities.Key ResponsibilitiesSupervise and support claims investigation and adjustment, ensuring accuracy and compliance with corporate standards.Provide backup support for adjusters as needed.Monitor and maintain quality assurance for claims handled within multiple jurisdictions.Foster a positive client experience through proactive, effective communication.QualificationsLicensing: Adjuster licenses required for TX and GA.Experience: Minimum of 5 years in workers' compensation claims adjusting, with at least 3 years of supervisory experience preferred.Skills: Strong supervisory and claims-handling skills, with an emphasis on team development and client service.Consider a career at CCMSI and be part of an employee-owned company that values integrity, career growth, and employee satisfaction. Apply today and help us continue setting the standard for self-insurance administration.Responsibilities:Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)Direct handling of designated litigated and complex claims.Provide education, training and assist in the development of claim staff.Review and maintain personal diary on claim system.Supervision of all claim activity for specified accounts.Compliance with Corporate Claim Handling Standards and special client handling instructions as established.Performs other duties as assigned.Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Excellent oral and written communication skills.Initiative to set and achieve performance goals.Good analytic and negotiation skills.Ability to cope with job pressures in a constantly changing environment.Knowledge of all lower level claim position responsibilities.Must be detail oriented and a self-starter with strong organizational abilities.Ability to coordinate and prioritize required.Flexibility, accuracy, initiative and the ability to work with minimum supervision.Discretion and confidentiality required.Reliable, predictable attendance within client service hours for the performance of this position.Responsive to internal and external client needs.Ability to clearly communicate verbally and/or in writing both internally and externally.Education and/or Experience5 + years claim experience is required.Three years supervisory experience is preferred.Computer SkillsProficient in Microsoft Office products such as Word, Excel, Outlook, etc.Certificates, Licenses, RegistrationsAdjusters license is required, TX, TN and/or GAAIC, CPCU, or ARM preferredCORE VALUES & PRINCIPLESResponsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.#CCMSICareers #CCMSINashville #Hiring #ClaimsSupervisor #WorkersCompensation #HybridWork #JoinOurTeam #NashvilleJobs #InsuranceCareers #EmployeeOwned #GreatPlaceToWork #CareerGrowth #ESOP #IND123

Created: 2024-11-13